| NPI | 1831107663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA TP004902B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP004902B) |
| 363L00000X Nurse Practitioner (Licence: PA RN349585L) | |
| 363L00000X Nurse Practitioner (Licence: PA TP004902B) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: PA TP004902B) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-06-29 |